Navigation Links
Home health visits greatly lower readmissions for heart surgery patients

MANHASSET, NY A study from North Shore University Hospital's (NSUH) cardiothoracic surgery department demonstrated a very significant reduction in hospital readmissions after coronary artery bypass graft (CABG) surgery. This study is featured in the May 2014 issue of The Annals of Thoracic Surgery, the North Shore-LIJ Health System announced today.

The CABG patients who did not receive home health care through the Follow Your Heart program were three times more likely to either be readmitted to the hospital or pass away, the study found. The 30-day readmission rate for patients receiving the typical care after this surgery was 11.54 percent, while those receiving home health care had a readmission rate of 3.85 percent.

A total of 401 patients participated in the study with 169 receiving cardiac surgery nurse practitioner (NP) home visits and 232 receiving usual care following CABG. In Follow Your Heart, a cardiac surgery NP, who helped care for the patient in the hospital, visited the patient at home twice within the first 14 days after discharge. The NPs provided directed physical exams, medication management and served as the communications hub for the patients and all pertinent care providers, including community resources such as family practitioners and cardiologists. The NPs are equipped with encrypted smart phones to provide email reports to care providers and send pictures back to the surgeon for advice about wound care if needed.

Having this continuity of care from a cardiac surgery NP greatly impacted the patients at home. The NPs provided more directed management for the patients and ensured that patients were following appropriate, updated instructions, according to Michael Hall, MD, division chief of adult cardiac surgery at NSUH. In addition, communication with community providers helped prepare them for the handoff of the specific patient after the first two weeks. This greatly prevented adverse consequences including readmission with added cost savings.

"We found that patients sometimes were not obtaining new medications because of cost issues, taking old medications with the mistaken belief that they were just as good, and failing to see community physicians because of lack of transportation, among many other things," Dr. Hall said. "All patients have specific needs that need to be individualized after discharge. We found that most problems could be solved by our nurse practitioners, who already knew the patients, once they were in the home."


Contact: Alexandra Zendrian
North Shore-Long Island Jewish (LIJ) Health System

Related medicine news :

1. Implementation science can create a workforce equipped for new health care environment
2. Extreme sleep durations may affect brain health in later life
3. Surgeons and health care settings influence type of breast cancer surgery women undergo
4. New health system scorecard shows little progress among states from 2007-2012
5. A risk management framework improves health systems resilience to high-impact weather
6. The latest in scientific research in childrens health to be presented in Vancouver
7. CWRU researchers profile womens employment, caregiving workloads, effort and health
8. NIH center sets new goals for global health research and training
9. New high-detail atlas offers tool to explore local environment and health
10. Inaugural Brain Health Summit focuses on brain resilience and regeneration
11. Clinics not bogged down by red tape can ease health cost burdens
Post Your Comments:
(Date:11/25/2015)... ... November 25, 2015 , ... "When I underwent ... bras were incredibly uncomfortable," said an inventor from Bronx, N.Y. "In order to ... the patent-pending RECOVERY BRA for added comfort and support. The bra is easier ...
(Date:11/25/2015)... ... November 25, 2015 , ... Bcureful—a non-profit organization devoted to ... raising public awareness of the disorder while helping to bring expert medical care ... to bolster progress at the Tuberous Sclerosis Complex Center at Ann & Robert ...
(Date:11/24/2015)... Florida (PRWEB) , ... November 25, 2015 , ... ... planning and monitoring. Their Care Plan software creates an agreement between the ... patient care plan, including financial, scheduling, monitoring, notification, and projections. Click ...
(Date:11/24/2015)... ... November 24, 2015 , ... Young patients with a ... Dr. Angela Wolfman and Dr. Kedar S. Lele, who are pediatric dentists in ... and fillings, the WaterLase iPlus 2.0™ system causes minimal discomfort and bleeding to the ...
(Date:11/24/2015)... ... November 25, 2015 , ... ... solutions for drugs, biologics, consumer health and global clinical supply services, today announced ... upcoming Clinical Trial Supply East Asia Conference, to be held at the InterContinental ...
Breaking Medicine News(10 mins):
(Date:11/24/2015)... Nov. 24, 2015  Thanks to a donor with ... Mary,s Medical Center,s Sister Diane Grassilli Center for Women,s ... in San Francisco . ... stepped forward with a gift of $617,320 that allowed ... Mammography with Tomosynthesis and Whole Breast Ultrasound. Tomosynthesis, three-dimensional ...
(Date:11/24/2015)... 24, 2015  Array BioPharma Inc. (Nasdaq: ... Officer, Ron Squarer , will present at ... York.  The public is welcome to participate in ... BioPharma website.Event:Piper Jaffray Annual Healthcare ConferencePresenter:  , Ron ... 2015Time:1:30 p.m. Eastern Time Webcast: , ...
(Date:11/24/2015)... and VANCOUVER, Nov. 24, 2015 /PRNewswire/ - ESSA ... EPIX ) announced today that the first patient ... of EPI-506 as a treatment for metastatic castration-resistant prostate ... and Canada.  --> the ... In the Phase 1/2 clinical trial, ESSA intends ...
Breaking Medicine Technology: